Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-23T01:36:33.500Z Has data issue: false hasContentIssue false
  • English
  • Français

Colonization With Multidrug-Resistant Organisms in Evacuees After Hurricane Katrina

Published online by Cambridge University Press:  02 January 2015

Ulrich Seybold ,
Nancy White ,
Yun F. Wang ,
J. Sue Halvosa  and
Henry M. Blumberg
Ulrich Seybold*
Affiliation:
Division of Infectious Diseases, Grady Memorial Hospital, Atlanta, Georgia Medical Policlinic, Ludwig-Maximilians-University, Munich, Germany
Nancy White
Affiliation:
Emory University School of Medicine, and the Epidemiology Department, Grady Memorial Hospital, Atlanta, Georgia
Yun F. Wang
Affiliation:
Department of Pathology, Grady Memorial Hospital, Atlanta, Georgia Clinical Microbiology Laboratory, Grady Memorial Hospital, Atlanta, Georgia
J. Sue Halvosa
Affiliation:
Emory University School of Medicine, and the Epidemiology Department, Grady Memorial Hospital, Atlanta, Georgia
Henry M. Blumberg*
Affiliation:
Division of Infectious Diseases, Grady Memorial Hospital, Atlanta, Georgia Emory University School of Medicine, and the Epidemiology Department, Grady Memorial Hospital, Atlanta, Georgia
*
Emory University School of Medicine, Department of Medicine, Division of Infectious Diseases, 49 Jesse Hill Jr. Dr., Atlanta, GA 30303 ([email protected])
Emory University School of Medicine, Department of Medicine, Division of Infectious Diseases, 49 Jesse Hill Jr. Dr., Atlanta, GA 30303 ([email protected])
Get access Rights & Permissions [Opens in a new window]

Abstract

After Hurricane Katrina, 50 patients were evacuated to Grady Memorial Hospital in Atlanta, Georgia, with limited medical records. The infection control department ordered contact precautions for 16 Patients. Surveillance cultures performed on admission identified colonization with multidrug-resistant (MDR) bacteria in 9 patients (18%). Presence of a wound was the strongest predictor for MDR colonization. More data are needed to reliably predict MDR bacterial colonization.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 28 , Issue 6 , June 2007 , pp. 726 - 729
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2007

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. United States Department of Defense: Hurricane Katrina Medical SITREP 9/13/2005. Available at: http://www.marines.mil/marinelink/mcn2000.nsf/KatrinaSITREP20050913.pdf/. Accessed on May 31, 2006.Google Scholar
2.National Nosocomial Infections Surveillance (NNIS) System report, data summary from January 1992 through June 2004, issued October 2004. Am J Infect Control 2004;32:470–485.Google Scholar
3.Spellberg, B, Powers, JH, Brass, EP, Miller, LG, Edwards, JE Jr.Trends in antimicrobial drug development: implications for the future. Clin Infect Dis 2004;38:1279–1286.CrossRefGoogle ScholarPubMed
4.Garner, JS. Guideline for isolation precautions in hospitals. The Hospital Infection Control Practices Advisory Committee. Infect Control Hosp Epidemiol 1996;17:53–80.Google Scholar
5.Muto, CA, Jernigan, JA, Ostrowsky, BE, et al.SHEA guideline for preventing nosocomial transmission of multidrug-resistant strains of Staphylococcus aureus and Enterococcus. Infect Control Hosp Epidemiol 2003;24:362–386.Google Scholar
6.Kluytmans-Vandenbergh, MF, Kluytmans, JA, Voss, A. Dutch guideline for preventing nosocomial transmission of highly resistant microorganisms (HRMO). Infection 2005;33:309–313.Google Scholar
7.McDougal, LK, Steward, CD, Killgore, GE, Chaitram, JM, McAllister, SK, Tenover, FC. Pulsed-field gel electrophoresis typing of oxacillin-resistant Staphylococcus aureus isolates from the United States: establishing a national database. J Clin Microbiol 2003;41:5113–5120.Google Scholar
8.Lina, G, Piemont, Y, Godail-Gamot, F, et al.Involvement of Panton-Valentine leukocidin-producing Staphylococcus aureus in primary skin infections and pneumonia. Clin Infect Dis 1999;29:1128–1132.CrossRefGoogle ScholarPubMed
9.Oliveira, DC, de Lencastre, H. Multiplex PCR strategy for rapid identification of structural types and variants of the mec element in methicillin-resistant Staphylococcus aureus. Antimicrob Agents Chemother 2002;46:2155–2161.Google Scholar
10.Hidron, AI, Kourbatova, EV, Halvosa, JS, et al.Risk factors for colonization with methicillin-resistant Staphylococcus aureus (MRSA) in patients admitted to an urban hospital: emergence of community-associated MRSA nasal carriage. Clin Infect Dis 2005;41:159–166.CrossRefGoogle Scholar
11.Seybold, U, Kourbatova, EV, Johnson, JG, et al.Emergence of community-associated methicillin-resistant Staphylococcus aureus USA300 genotype as a major cause of health care-associated blood stream infections. Clin Infect Dis 2006;42:647–656.Google Scholar